A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?
"OCD is caused solely by genetic factors.”
"Exposure therapy is not effective for treating OCD.”
"SSRIs are commonly used medications for OCD.”
"CBT is not recommended for treating OCD.”
The Correct Answer is C
Choice A rationale:
While genetic factors can contribute to the development of OCD, stating that it is solely caused by genetic factors oversimplifies the etiology. OCD is a complex disorder with multiple factors, including genetic, neurobiological, cognitive, and environmental influences.
Choice B rationale:
This statement is incorrect. Exposure therapy is a highly effective treatment for OCD. It involves controlled and systematic exposure to feared stimuli, which helps individuals reduce their anxiety responses over time.
Choice C rationale:
This choice is correct because selective serotonin reuptake inhibitors (SSRIs) are indeed commonly used as a first-line pharmacological treatment for OCD. These medications help regulate serotonin levels in the brain, which can reduce the frequency and intensity of obsessions and compulsions.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is actually recommended as one of the most effective treatments for OCD. CBT, including exposure and response prevention, helps individuals learn to manage their symptoms by changing maladaptive thought patterns and behaviors associated with OCD. Therefore, stating that CBT is not recommended is inaccurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Sharing patient information without consent violates patient privacy and confidentiality. This goes against ethical and legal standards in healthcare.
Choice B rationale:
This is a correct choice. Communicating treatment progress to the healthcare team ensures everyone is informed and can provide coordinated care. Collaboration and information sharing are important for comprehensive patient management.
Choice C rationale:
Referring the patient to support groups is a collaborative action that can provide additional avenues of help and coping strategies. Support groups can offer a sense of community and understanding among individuals facing similar challenges.
Choice D rationale:
Excluding the patient from treatment decisions contradicts patient-centered care and shared decision-making principles. Collaboration involves involving the patient in their own care.
Choice E rationale:
Coordinating medication adjustments is a collaborative action as medications are often managed by healthcare professionals such as doctors or nurse practitioners. Adjustments should be made collectively to ensure the best outcome for the patient.
Correct Answer is D
Explanation
Choice D rationale:
The type and severity of OCD, along with the client's preferences and tolerance, are key factors that influence the choice of medication for treating OCD. OCD symptoms can vary widely between individuals, and different medications may be more effective for specific symptom profiles. Additionally, the severity of symptoms and potential side effects of medications should be carefully considered. Client preferences and tolerances play a crucial role in treatment adherence and success. Collaborative decision-making between the client and healthcare provider ensures that the chosen medication aligns with the individual's needs and goals.
Choice A rationale:
While enhancing positive emotional outcomes is a desired effect of treatment, it's not a direct factor that influences the choice of medication for treating OCD. The choice of medication is primarily based on its mechanism of action and its demonstrated efficacy in targeting OCD symptoms.
Choice B rationale:
Completely eliminating all obsessions and compulsions immediately is often not a realistic expectation for OCD treatment. Medications and psychotherapeutic approaches aim to reduce the severity and frequency of symptoms, improve overall functioning, and enhance quality of life.
Choice C rationale:
Ego-syntonic obsessions and compulsions are those that are consistent with the individual's sense of self and values, making them less distressing and more difficult to recognize as irrational. While addressing ego-syntonic symptoms is important, this factor alone does not dictate the choice of medication. The overall symptom profile and the medication's mechanism of action are more influential factors.
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